Objective:To explore rescue effect of prehospital emergency care connected green channel on patients with acute myocardial infarction (AMI).Methods:A total of 122 emergency AMI patients treated in our hospital were selected.Ac-cording to hospitalization order,they were divided into routine emergency care group (the first 61 inpatients)and green channel group (the following 61 inpatients,received prehospital emergency care connected green channel besides routine e-mergency care).Rescue effective rate,myocardial perfusion time,time of in-hospital stay and nursing satisfaction were compared between two groups.Results:Total effective rate of green channel group was significantly higher than that of routine emergency care group (78.69% vs.68.85%,P =0.028);compared with routine emergency care group,there were significant reductions in myocardial perfusion time [(100.72±10.40)min vs.(56.02±5.49)min]and time of in-hospital stay [(14.34 ± 3.46)d vs.(11.86 ± 4.24)d](P < 0.01 both),and significant rise in nursing satisfaction (81.82% vs.96.67%,P =0.028)in green channel group.Conclusion:Prehospital emergency care connected green chan-nel can improve rescue effective rate,reduce time of in-hospital stay and improve nursing satisfaction in patients with acute myocardial infarction,which is worth extending in clinic.

Objective To investigate the correlation between hemodialysis patients' self-efficacy and self-management behavior.Methods Using the United States Stanford University chronic centers for Disease Education Research self-efficacy and self-management behavior questionnaire survey was conducted in 89 cases of hemodialysis patients.Results The score of self-efficacy for hemodialysis patients was (38.51 ± 10.91),with 22.47％ patients of high level,43.82％ patients of medium level,and 33.7％ patients of low level.The score of self management behavior was (76.38 ± 14.88),and its impact factor were the occupation,and dialysis frequency (P ＜ 0.05).There was a significant positive correlation between self-efficacy and self-management behaviors of hemodialysis patients (r =0.43,P ＜ 0.01).Conclusions There is a close relationship between hemodialysis patients' self-efficacy and self-management behaviors,clinicians should be based on self-efficacy theory to mobilize the patient' s own potential,so as to improve patients' self-management behavior.

Objective To study the effects of a psychological intervention mode for patients around period of operation PTCA and stent implantation.Methods Sixty patients from a Grade Ⅲ Class A hospital were enrolled and randomly divided into two equal groups.The control group received routine psychological care.The intervention group(n=30) was treated with measures established by the psychological intervention mode(information intervention,psychological care,mood dredge,cognitive intervention,behavioral intervention). The mental states of the two groups were compared.Results After psychological intervention,the score of anxiety and depression showed a significant reduction in the intervention group compared with the control group(P0.05).The differences of dynamic change in blood pressure and pulse change on different time burns were significantly bigger in the control group than that in the intervention group(P0.01).Conclusions The psychological intervention mode can reduce patients' negative emotions as well as decrease side effects and the complication incidence in patients with coronary heart disease (CHD) who receive the PTCA and stent implantation operation and help them maintain suitable psychosomatic status.